| NPI | 1073051918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY FADOJU Director 443-904-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R133965) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |